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Organization
BEYOND SMILES OF PARK RIDGE
Active
Organization
BEYOND SMILES OF PARK RIDGE
Active
Other names
Please Select
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KERRY L LOWERY DDS (DENTIST)
(773) 771-2605
Entity
Organization
Contact information
Practice address
650 N NORTHWEST HWY STE E, PARK RIDGE, IL 60068-2554
(847) 292-2700
Mailing address
650 N NORTHWEST HWY STE E, PARK RIDGE, IL 60068-2554
(847) 292-2700
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1912019142
—
IL
Enumeration date
09/02/2019
Last updated
09/02/2019
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